Abstract
Spasticity is a frequent manifestation of upper motor neuron lesion induced by trauma, ischemia or haemorrhage, inflammation,degenerative processes or tumours. The principal symptoms of the upper motor neuron syndrome include muscle hypertonia, paresis and muscle shortening.
Clinical rating scales are used to assess objectively the type and degree of spasticity. Complex spasticity management requires a multidisciplinary approach and the setting of realistic individual treatment goals.
The main goal of spasticity treatment is to eliminate its negative impact on common daily activities. Rehabilitation plays a key role in the management of spasticity.Oral antispasticity drugs remain the most common and simplest treatment.
Botulinum toxin holds a preeminent position in the treatment of focal spasticity. In severe generalised spasticity, it is possible to administer baclofen intrathecally via a pump system.
Surgical methods are used for severe spasticity when other treatment methods are ineffective